Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $70.79 / $89.13	Professional		$37.15	$70.79	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $131.83	Professional		$44.67	$53.70	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $107.15	Facility		$72.44	$72.44	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $109.65	Professional		$107.15	$107.15	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $102.33	Professional		$48.98	$77.62	$102.33
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $181.97	Professional		$91.20	$109.65	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $60.26	Professional		$26.92	$40.74	$60.26